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          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>MANAGEMENT SERVICES</DescriptionOfServices>
        <Compensation>23878240</Compensation>
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      <ContractorCompensation>
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        <AddressOfContractor>
          <AddressUS>
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        </AddressOfContractor>
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      </ContractorCompensation>
      <ContractorCompensation>
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        <AddressOfContractor>
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        </AddressOfContractor>
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      <ContractorCompensation>
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      <ContractorCompensation>
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      <CompCurrentOfficersDirectors>
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      <CompDisqualPersons>
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      <PensionPlanContributions>
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      <FeesForServicesLobbying>
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      <FeesForServicesProfFundraising>
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      <FeesForServicesInvstMgmntFees>
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      <Royalties>
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        <ManagementAndGeneral>292628</ManagementAndGeneral>
        <Fundraising>97543</Fundraising>
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      <Travel>
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      <TravelEntrtnmntPublicOfficials>
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        <ProgramServices>233881</ProgramServices>
        <ManagementAndGeneral>43853</ManagementAndGeneral>
        <Fundraising>14618</Fundraising>
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      <PaymentsToAffiliates>
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      <Insurance>
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      <OtherExpenses>
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      <OtherLiabilities>
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        </AddressUS>
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        <IRCSection>501(C)(3)</IRCSection>
        <AmountOfCashGrant>60000</AmountOfCashGrant>
        <PurposeOfGrant>CHARITABLE</PurposeOfGrant>
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      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>PROFESSIONAL RESEARCH</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>11326 P STREET</AddressLine1>
          <City>OMAHA</City>
          <State>NE</State>
          <ZIPCode>681372316</ZIPCode>
        </AddressUS>
        <EINOfRecipient>470628654</EINOfRecipient>
        <IRCSection>501(C)(3)</IRCSection>
        <AmountOfCashGrant>32750</AmountOfCashGrant>
        <PurposeOfGrant>CHARITABLE</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>AMERICAN CANCER SOCIETY</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>2433 RIDGEPOINT DRIVE SUITE A</AddressLine1>
          <City>AUSTIN</City>
          <State>TX</State>
          <ZIPCode>78754</ZIPCode>
        </AddressUS>
        <EINOfRecipient>741185665</EINOfRecipient>
        <IRCSection>501(C)(3)</IRCSection>
        <AmountOfCashGrant>6000</AmountOfCashGrant>
        <PurposeOfGrant>CHARITABLE</PurposeOfGrant>
      </RecipientTable>
      <TotalNbrOf501C3AndGovtGrants>6</TotalNbrOf501C3AndGovtGrants>
      <Form990ScheduleIPartIII>
        <TypeOfGrant>TUITION ASSISTANCE</TypeOfGrant>
        <NumberOfRecipients>14</NumberOfRecipients>
        <AmountOfCashGrant>15000</AmountOfCashGrant>
      </Form990ScheduleIPartIII>
      <Form990ScheduleIPartIV>
        <Identifier>PROCEDURES USED BY ORGANIZATION TO MONITOR USE OF GRANT FUNDS IN THE US</Identifier>
        <ReturnReference>SCH I, PART I, QUESTION 2</ReturnReference>
        <Explanation>THE ORGANIZATION EVALUATES AND MONITORS DONEES BASED ON PUBLIC AND PRIVATE DATA.</Explanation>
      </Form990ScheduleIPartIV>
    </IRS990ScheduleI>
    <IRS990ScheduleJ documentId="IRS990ScheduleJ">
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      <IndependentConsultant>X</IndependentConsultant>
      <WrittenEmploymentContract>X</WrittenEmploymentContract>
      <BoardOrCommitteeApproval>X</BoardOrCommitteeApproval>
      <SeverancePayment>true</SeverancePayment>
      <SupplementalNonqualRetirePlan>true</SupplementalNonqualRetirePlan>
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      <CompBasedNetEarningsRelateOrgs>false</CompBasedNetEarningsRelateOrgs>
      <AnyNonFixedPayments>false</AnyNonFixedPayments>
      <InitialContractException>false</InitialContractException>
      <Form990ScheduleJPartII>
        <NamePerson>JAMES E EASTHAM</NamePerson>
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        <CompBasedOnRelatedOrgs>1302875</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
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      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
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        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
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      <Form990ScheduleJPartII>
        <NamePerson>SCOTT LIEBERENZ</NamePerson>
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        <BonusRelatedOrgs>0</BonusRelatedOrgs>
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        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
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        <NontaxableBenefitsRelatedOrgs>8073</NontaxableBenefitsRelatedOrgs>
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        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>JAMES G SPRINGFIELD</NamePerson>
        <BaseCompensationFilingOrg>0</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
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        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>MANNY VELA</NamePerson>
        <BaseCompensationFilingOrg>0</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>288983</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
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        <OtherCompensationRelatedOrgs>33360</OtherCompensationRelatedOrgs>
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        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
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        <TotalCompensationRelatedOrgs>334038</TotalCompensationRelatedOrgs>
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        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
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      <Form990ScheduleJPartIII>
        <Identifier>PARTICIPATION IN OR PAYMENT FROM NONQUALIFIED SUPPLEMENTAL RETIREMENT PLAN</Identifier>
        <ReturnReference>SCH J, PART I, QUESTION 4B</ReturnReference>
        <Explanation>THE INDIVIDUALS LISTED BELOW PARTICIPATE IN A 457(F) NONQUALIFIED RETIREMENT PLAN: JAMES E EASTHAM $ 0 SCOTT LEIBERENZ $ 0 JAMES G SPRINGFIELD $ 0 MANNY VELA $ 0</Explanation>
      </Form990ScheduleJPartIII>
      <Form990ScheduleJPartIII>
        <Identifier>RECIPIENTS OF SEVERANCE PAYMENT OR CHANGE OF CONTROL PAYMENT</Identifier>
        <ReturnReference>SCH J, PART I, QUESTION 4A</ReturnReference>
        <Explanation>THE INDIVIDUALS LISTED BELOW RECEIVED A SEVERANCE PAYMENT OR A CHANGE OF CONTROL PAYMENT: JAMES G SPRINGFIELD $ 975,077</Explanation>
      </Form990ScheduleJPartIII>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="IRS990ScheduleO">
      <GeneralExplanation>
        <Identifier>GOVERNING DOCUMENTS AVAILABLE TO THE PUBLIC</Identifier>
        <ReturnReference>FORM 990, PART VI, QUESTION 19</ReturnReference>
        <Explanation>THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICIES, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>OTHER PERSONS WHO MAY ELECT MEMBERS OF GOVERNING BOARD</Identifier>
        <ReturnReference>FORM 990, PART VI, QUESTION 7A</ReturnReference>
        <Explanation>BAPTIST GENERAL CONVENTION OF TEXAS OR IT'S EXECUTIVE COMMITTEE (BGCT) SHALL ELECT 75% OF THE MEMBERS OF THE GOVERNING BOARD.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>PROCESS FOR MONITORING COMPLIANCE WITH CONFLICT OF INTEREST POLICY</Identifier>
        <ReturnReference>FORM 990, PART VI, QUESTION 12C</ReturnReference>
        <Explanation>THE BOARD REVIEWS AND RESOLVES TRANSACTIONS, IF ANY, AS THEY ARISE THROUGHOUT THE YEAR.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>PROCESS FOR DETERMINING COMPENSATION OF OFFICERS, DIRECTORS, KEY EMPLOYEES</Identifier>
        <ReturnReference>FORM 990, PART VI, QUESTIONS 15A &amp; 15B</ReturnReference>
        <Explanation>THE BOARD OF DIRECTORS OF VALLEY BAPTIST DEVELOPED THE POLICY TO BE UTILIZED FOR DETERMINING COMPENSATION. A COMPENSATION COMMITTEE WAS FORMED FROM THE BOARD WHO OVERSEES THIS PROCESS. VALLEY BAPTIST UTILIZES AN INDEPENDENT COMPENSATION CONSULTING FIRM WHICH APPROVES THE PAY RANGES PROPOSED BASED ON PUBLISHED SURVEY DATA. WRITTEN EMPLOYMENT CONTRACTS ARE EXECUTED WITH THE CEO ONLY.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>PROCESS TO REVIEW THE FORM 990</Identifier>
        <ReturnReference>FORM 990, PART VI, QUESTION 11</ReturnReference>
        <Explanation>THE ORGANIZATION ENGAGES AN OUTSIDE ACCOUNTING FIRM TO PREPARE FORM 990. ONCE PREPARED, THE FORM IS REVIEWED BY THE ORGANIZATION'S INTERNAL ACCOUNTANTS AND GOVERNING BOARD PRIOR TO FILING.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>BUSINESS RELATIONSHIPS WITH OFFICERS, DIRECTORS, TRUSTEES</Identifier>
        <ReturnReference>FORM 990, PART VI, QUESTION 2</ReturnReference>
        <Explanation>DIRECTOR MICHAEL SCAIEF AND SECRETARY BILL ELLIFF HAVE A BUSINESS RELATIONSHIP. DIRECTOR BOB BOGGUS AND VICE CHAIRMAN GREG QUISENBERRY HAVE A BUSINESS RELATIONSHIP. SECRETARY BILL ELLIFF, DIRECTOR GARY SCHWARZ, VP &amp; CORP COUNSEL MANNY VELA, DIRECTORS MICHAEL SCAIEF AND BOBBY FARRIS, AND FORMER PRESIDENT &amp; CEO JAMES G SPRINGFIELD HAVE A BUSINESS RELATIONSHIP. DIRECTOR ARNIE GONZALEZ AND DIRECTOR MICHAEL SCAIEF HAVE A BUSINESS RELATIONSHIP. DIRECTORS MICHAEL SCAIEF AND BOBBY FARRIS, AND SECRETARY BILL ELLIFF HAVE A BUSINESS RELATIONSHIP. VP &amp; CORP COUNSEL MANNY VELA AND FORMER EX-OFFICIO MEMBER JAMES G SPRINGFIELD HAVE A BUSINESS RELATIONSHIP. VICE CHAIRMAN GREG QUISENBERRY AND DIRECTOR MICHAEL SCAIEF HAVE A BUSINESS RELATIONSHIP.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>APPROVAL OF DECISIONS OF GOVERNING BOARD</Identifier>
        <ReturnReference>FORM 990, PART VI, QUESTION 7B</ReturnReference>
        <Explanation>BGCT SHALL HAVE THE POWER TO APPROVE DECISIONS OF THE GOVERNING BOARD REGARDING AMENDING ARTICLE OF INCORPORATION OR BYLAWS. BGCT SHALL ALSO APPROVE DECISIONS TO MERGE OR CONSOLIDATE WITH ANY OTHER CORPORATION IF THE HEALTH SYSTEM IS NOT THE SURVIVING CORPORATION OR IF IT MAY CAUSE THE HEALTH SYSTEM TO DEVIATE FROM ITS PURPOSES.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>CHANGE IN NET ASSETS OR FUND BALANCES</Identifier>
        <ReturnReference>FORM 990, PART XI, LINE 5</ReturnReference>
        <Explanation>TRANSFER TO AFFILLIATE $ (2,335,688)</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>HOURS DEVOTED FOR RELATED ORGANIZATION</Identifier>
        <ReturnReference>FORM 990 PART VII</ReturnReference>
        <Explanation>NAME:BILL ELLIFF TITLE:SECRETARY HOURS:1</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>HOURS DEVOTED FOR RELATED ORGANIZATION</Identifier>
        <ReturnReference>FORM 990 PART VII</ReturnReference>
        <Explanation>NAME:JACK ABBOTT TITLE:DIRECTOR HOURS:5</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>HOURS DEVOTED FOR RELATED ORGANIZATION</Identifier>
        <ReturnReference>FORM 990 PART VII</ReturnReference>
        <Explanation>NAME:BOB BOGGUS TITLE:DIRECTOR HOURS:5</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>HOURS DEVOTED FOR RELATED ORGANIZATION</Identifier>
        <ReturnReference>FORM 990 PART VII</ReturnReference>
        <Explanation>NAME:GARY SCHWARZ DDS TITLE:DIRECTOR HOURS:1</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>HOURS DEVOTED FOR RELATED ORGANIZATION</Identifier>
        <ReturnReference>FORM 990 PART VII</ReturnReference>
        <Explanation>NAME:ARNIE GONZALEZ TITLE:DIRECTOR HOURS:5</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>HOURS DEVOTED FOR RELATED ORGANIZATION</Identifier>
        <ReturnReference>FORM 990 PART VII</ReturnReference>
        <Explanation>NAME:CODY SCOGIN TITLE:SECRETARY HOURS:4</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>HOURS DEVOTED FOR RELATED ORGANIZATION</Identifier>
        <ReturnReference>FORM 990 PART VII</ReturnReference>
        <Explanation>NAME:GREG QUISENBERRY TITLE:VICE CHAIRMAN HOURS:5</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>HOURS DEVOTED FOR RELATED ORGANIZATION</Identifier>
        <ReturnReference>FORM 990 PART VII</ReturnReference>
        <Explanation>NAME:WILBRON STANTEEN TITLE:DIRECTOR HOURS:1</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>HOURS DEVOTED FOR RELATED ORGANIZATION</Identifier>
        <ReturnReference>FORM 990 PART VII</ReturnReference>
        <Explanation>NAME:ARMANDO ELIZARDE TITLE:DIRECTOR HOURS:1</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
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        <ReturnReference>FORM 990 PART VII</ReturnReference>
        <Explanation>NAME:VERN STENSENG TITLE:DIRECTOR HOURS:5</Explanation>
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      <GeneralExplanation>
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        <ReturnReference>FORM 990 PART VII</ReturnReference>
        <Explanation>NAME:JAMES E EASTHAM TITLE:PRESIDENT &amp; CEO HOURS:17</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>HOURS DEVOTED FOR RELATED ORGANIZATION</Identifier>
        <ReturnReference>FORM 990 PART VII</ReturnReference>
        <Explanation>NAME:ALAN JOHNSON TITLE:CHAIRMAN HOURS:6</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
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        <ReturnReference>FORM 990 PART VII</ReturnReference>
        <Explanation>NAME:REBECCA BALLENGER TITLE:DIRECTOR HOURS:7</Explanation>
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      <GeneralExplanation>
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        <ReturnReference>FORM 990 PART VII</ReturnReference>
        <Explanation>NAME:BOBBY FARRIS TITLE:DIRECTOR HOURS:2</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
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        <ReturnReference>FORM 990 PART VII</ReturnReference>
        <Explanation>NAME:FORD SASSER TITLE:DIRECTOR HOURS:1</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>HOURS DEVOTED FOR RELATED ORGANIZATION</Identifier>
        <ReturnReference>FORM 990 PART VII</ReturnReference>
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      </GeneralExplanation>
      <GeneralExplanation>
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        <ReturnReference>FORM 990 PART VII</ReturnReference>
        <Explanation>NAME:TERESA LIGHTNER, M.D. TITLE:DIRECTOR HOURS:1</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
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        <ReturnReference>FORM 990 PART VII</ReturnReference>
        <Explanation>NAME:VICTOR VILLARREAL TITLE:DIRECTOR HOURS:2</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
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        <ReturnReference>FORM 990 PART VII</ReturnReference>
        <Explanation>NAME:SCOTT LIEBERENZ TITLE:CFO/SENIOR VP HOURS:9</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
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        <ReturnReference>FORM 990 PART VII</ReturnReference>
        <Explanation>NAME:MANNY VELA TITLE:VP &amp; CORP COUNSEL HOURS:12</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
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        <ReturnReference>FORM 990 PART VII</ReturnReference>
        <Explanation>NAME:JAMES G SPRINGFIELD TITLE:FORMER PRESIDENT &amp; CEO HOURS:6</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
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          <BusinessNameLine1>VALLEY BAPTIST LAB SERVICES LLC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>PO BOX 2588</AddressLine1>
          <City>HARLINGEN</City>
          <State>TX</State>
          <ZIPCode>78550</ZIPCode>
        </AddressUS>
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        </DirectControllingEntityName>
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          <City>HARLINGEN</City>
          <State>TX</State>
          <ZIPCode>78550</ZIPCode>
        </AddressUS>
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        </DirectControllingEntityName>
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          <City>HARLINGEN</City>
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          <BusinessNameLine1>VB MED DEV</BusinessNameLine1>
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          <City>HARLINGEN</City>
          <State>TX</State>
          <ZIPCode>78550</ZIPCode>
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        </DirectControllingEntityName>
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          <City>HARLINGEN</City>
          <State>TX</State>
          <ZIPCode>78550</ZIPCode>
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        <EIN>205394477</EIN>
        <PrimaryActivities>IMAGING GP</PrimaryActivities>
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          <BusinessNameLine1>VB MED DEV</BusinessNameLine1>
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          <City>HARLINGEN</City>
          <State>TX</State>
          <ZIPCode>78550</ZIPCode>
        </AddressUS>
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        <LegalDomicileState>TX</LegalDomicileState>
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          <BusinessNameLine1>VB MGT SVC</BusinessNameLine1>
        </DirectControllingEntityName>
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          <BusinessNameLine1>VALLEY BAPTIST STAFFING SERVICES LLC</BusinessNameLine1>
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          <City>HARLINGEN</City>
          <State>TX</State>
          <ZIPCode>78550</ZIPCode>
        </AddressUS>
        <EIN>260707149</EIN>
        <PrimaryActivities>STAFFING SV</PrimaryActivities>
        <LegalDomicileState>TX</LegalDomicileState>
        <TotalIncome>0</TotalIncome>
        <EOYAssets>0</EOYAssets>
        <DirectControllingEntityName>
          <BusinessNameLine1>VB MGT SVC</BusinessNameLine1>
        </DirectControllingEntityName>
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          <AddressLine1>2101 PEASE STREET</AddressLine1>
          <City>HARLINGEN</City>
          <State>TX</State>
          <ZIPCode>78550</ZIPCode>
        </AddressUS>
        <EIN>134334601</EIN>
        <PrimaryActivities>SURGERY CTR</PrimaryActivities>
        <LegalDomicileState>TX</LegalDomicileState>
        <TotalIncome>0</TotalIncome>
        <EOYAssets>0</EOYAssets>
        <DirectControllingEntityName>
          <BusinessNameLine1>VB MED DEV</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartI>
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          <BusinessNameLine1>VB MED DEV</BusinessNameLine1>
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          <BusinessNameLine1>BROWNSVILLE MOB II LTD</BusinessNameLine1>
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          <BusinessNameLine1>VB REALTY</BusinessNameLine1>
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          <BusinessNameLine1>VALLEY BAPTIST MEDICAL CENTER</BusinessNameLine1>
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    </IRS990ScheduleR>
  </ReturnData>
</Return>